Amber Spivey, is a medicare enrolled "Nurse Practitioner - Family" in Gibson, Georgia. Her current practice location is
434 Beall Springs Rd, Gibson, Georgia. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Amber Spivey is licensed to practice in Georgia (license number RN296393) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518705300.
Provider's Profile
Full Name | Amber Spivey |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 434 Beall Springs Rd, Gibson, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518705300
- Provider Enumeration Date: 07/17/2024
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698212884
- Enrollment ID: I20240806002102
Medical Identifiers
Medical identifiers for Amber Spivey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518705300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN296393 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amber Spivey allows following entities to bill medicare on her behalf.
Entity Name | Ultra Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20220916000007 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber Spivey is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amber Spivey, Po Box 269084, Oklahoma City, OK 73126-9084 Ph: () - | Amber Spivey, 434 Beall Springs Rd, Gibson, GA 30810-4224 Ph: (731) 394-1145 |
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